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NPI Code Detail

MEDICARE: EYE SURGERY CENTER OF NEVADA

MEDICARE: EYE SURGERY CENTER OF NEVADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center473ASC-7NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528064854
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE SURGERY CENTER OF NEVADA
Provider Business Mailing Address
First Line : PO BOX 2005
Second Line :
City : CARSON CITY
State : NV
Zip : 89702-2005
Country : US
Telephone Number : 775-882-3950
Fax Number : 775-882-1726
Provider Business Practice Location Address
First Line : 3839 N CARSON ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-1935
Country : US
Telephone Number : 775-882-3950
Fax Number : 775-882-1726
Authorized Official
Title or Position : ADMINISTRATOR
Name : DR. MICHAEL JOHN FISCHER
Credential : M.D.
Telephone Number : 775-882-3950
Provider Enumeration Date : 06/22/2005
Last Update Date : 10/11/2011

Similar Medicare Providers

1588660815 — DR. MICHAEL JOHN FISCHER M.D.
Practice Location Address:
3839 N CARSON ST
CARSON CITY, NV
89706-1935
Practice Phone: 775-882-2988
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1073638128 — OPTICAL CENTERS OF NEVADA
Practice Location Address:
3839 N CARSON ST
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Practice Fax:
1669773644 — MICHAEL J FISCHER, MD LTD
Practice Location Address:
3839 N CARSON ST
CARSON CITY, NV
89706-1935
Practice Phone: 775-882-2988
Practice Fax: 775-882-1726
1437643335 — DIANA DEE JOHNSON RDO
Practice Location Address:
3839 N CARSON ST
CARSON CITY, NV
89706-1935
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Practice Fax: 775-841-2020
1417955063 — CLINTON BRADSHAW WEBSTER M.D.
Practice Location Address:
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1215938469 — WILLOW CREEK HEALTH CARE
Practice Location Address:
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Directions to “EYE SURGERY CENTER OF NEVADA ” Practice Location

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